Summary

    There are several potent cortisteroids (steroids) in the form of eye drops, which ophthalmologists use daily to manage postoperative healing after LASIK surgery cataract surgery, and intraolcular lens implant surgery.  In addition, some steroid drops can be used for short intervals of time in managaing dry eye disease. These include pred forte (Allergan), omnipred (Alcon), Maxidex (Alcon), Lotemax (Bausch and Lomb) and Durezol (Sirion).     These steroid drops have slghtly different biochemical structures and side effect profiles. In general,the more potent the steroid, the more likely it has a side effect of intraocular pressure rise (glaucoma risk) and cataract formation. Durezol, a newer topical steroid from Sirion Therapeutics, has excellent potency and slightly less of a side effects. Lotemax (Bausch and Lomb) has found a niche in the management of dry eye disease, being used for short intervals (a few weeks) in dry eye management, as other drops such as restasis get on board.

Analysis

    Deciding where to position Sirion Therapeutics against Alcon and Allergan and Bausch and Lomb in the arena of topical corticosteroids
for the management of cataract surgery, LASIK surgery and dry eye disease.  
    There are several potent cortisteroids (steroids) in the form of eye drops, which ophthalmologists use daily to manage postoperative healing after LASIK surgery cataract surgery, and intraolcular lens implant surgery.  In addition, some steroid drops can be used for short intervals of time in managaing dry eye disease. These include Pred Forte (Allergan), Omnipred Alcon), Maxidex (Alcon), Lotemax (Bausch and Lomb) and Durezol (Sirion).    These steroid drops have slightly different biochemical structures and side effect profiles. In general, the more potent the steroid, the more likely it has a side effect of intraocular pressure rise (glaucoma risk) and cataract formation. Durezol, a newer topical steroid from Sirion Therapeutics, has excellent potency and slightly less of a side effects. Lotemax (Bausch and Lomb) has found a niche in the management of dry eye disease, being used for short intervals (a few weeks) in dry eye management, as other drops such as restasis get on board.

Vincent de Luise, MD consults with leading institutions through GLG

Vincent de Luise, MD, Assistant Clinical Professor of Ophthalmology
Vincent de Luise

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Assistant Clinical Professor of Ophthalmology , YALE UNIVERSITY

 
Analyses are solely the work of the authors and have not been edited or endorsed by GLG.